| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
408 |
403 |
$19K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
392 |
359 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
102 |
102 |
$5K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
26 |
26 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
20 |
17 |
$968.16 |
| 92015 |
Determination of refractive state |
68 |
68 |
$813.56 |
| 2022F |
|
15 |
15 |
$0.12 |